Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,342.49 / $5,132.00 / $22,024.00	Facility		$1,342.49	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,827.45 / $20,273.81 / $38,781.51	Facility		$9,827.45	$20,273.81	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $11,439.05	Facility		$1,005.16	$1,223.70	$11,439.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $763.60 / $1,566.16 / $10,031.68	Facility		$763.60	$1,566.16	$10,031.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,014.30 / $1,388.91 / $1,469.31	Facility		$1,014.30	$1,388.91	$1,469.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $968.97 / $1,002.20 / $9,827.45	Facility		$968.97	$1,002.20	$9,827.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00